<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>

<link href="../style/css1.css" rel="stylesheet" type="text/css" />
</head>

<body>

<form name="contactform" method="post" action="send_form_email.php">
<table width="450px">


<td valign="top">
<label for="hoten">Họ Và Tên (*)</label>
</td>
<td valign="top">
<input  type="text" name="hoten" maxlength="80" size="30">
</td>

<td valign="top">
<label for="donvi">Đơn Vị</label>
</td>
<td valign="top">
<input  type="text" name="donvi" maxlength="80" size="30">
</td>

<td valign="top">
<label for="diachi">Địa Chỉ</label>
</td>
<td valign="top">
<input  type="text" name="diachi" maxlength="80" size="30">
</td>

<td valign="top">
<label for="dienthoai">Điện Thoại (*)</label>
</td>
<td valign="top">
<input  type="text" name="dienthoai" maxlength="30" size="30">
</td>

<td valign="top">
<label for="email">Email (*)</label>
</td>
<td valign="top">
<input  type="text" name="email" maxlength="80" size="30">
</td>
</tr>
<tr>

</tr>
<tr>
<td valign="top">
<label for="comments">Lời Nhắn (*)</label>
</td>
<td valign="top">
<textarea  name="comments" maxlength="1000" cols="25" rows="6"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center">
<input type="submit" value="Submit"></td>
</tr>
</table>
</form>
            
</body>
</html>